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Individual
EVELYN GRUSS LIPPER
Active
Individual
EVELYN GRUSS LIPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
114514
NY
261QM2500X
Medical Specialty Clinic/Center
Primary
114514
NY
Other
Enumeration date
02/20/2010
Last updated
01/23/2012
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